Cammie Maxwell Neatherland, N.P.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP07897 Issued in LA

Practice address

804 Chatham Ave
Chatham, LA 71226-8917

Phone

(318) 249-3200

Fax

(318) 249-3204

NPI assigned

Jun 30, 2014

Last updated

Aug 29, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Cammie L Maxwell Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jackson Parish HospitalGroup PAC ID 9335048081, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Primestar Home Health Inc Home health agency, Rayville, LA, CCN 197426
• Lagniappe Homecare Northern Louisiana Home health agency, Ruston, LA, CCN 197197
• Jackson Parish Hospital Hospital, Jonesboro, LA, CCN 191317
• Fmol Health St Francis Hospital, Monroe, LA, CCN 190125

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cneatherland@jph.cernerdirect.com
• FHIR API: https://fhir-myrecord.cerner.com/r4/21ed112e-ec5e-43b1-8ddc-cd3753841e6e/
• FHIR API: https://fhir-usa.unify.chbase.com/org/caldmem-57e7c173

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jackson Parish Hospital

  • Critical Access Hospital
  • Jonesboro, LA
  • NPI 1093793408
  Medicare reassignment Care Compare group NPD
• Affinity Health Group, LLC

  • Family Medicine Physician
  • Monroe, LA
  • NPI 1023291226
  Medicare reassignment NPD
• Affinity Health Group, LLC

  dba Affinity Orthopaedic Clinic

  • Orthopaedic Surgery Physician
  • Monroe, LA
  • NPI 1861879249
  NPD
• Jackson Parish Hospital

  dba Chatham Medical Clinic

  • Rural Health Clinic/Center
  • Chatham, LA
  • NPI 1295965564
  NPD (past)
• Jackson Parish Hospital

  • Rural Health Clinic/Center
  • Jonesboro, LA
  • NPI 1992845564
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Jackson Parish Hospital

  • Critical Access Hospital
  • Jonesboro, LA
  • NPI 1093793408
  Care Compare affiliation
• Lagniappe Homecare Northern Louisana Inc

  • Home Health Agency
  • Winnfield, LA
  • NPI 1609844596
  Care Compare affiliation
• Primestar Home Health

  • Home Health Agency
  • Rayville, LA
  • NPI 1386647659
  Care Compare affiliation
• St Francis Medical Center, Inc

  • General Acute Care Hospital
  • Monroe, LA
  • NPI 1295723229
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1404086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1083029987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 BEECH SPRINGS RD",
            "city": "JONESBORO",
            "state": "LA",
            "postal_code": "712512059",
            "telephone_number": "318-259-5646",
            "fax_number": "318-259-0019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 CHATHAM AVE",
            "city": "CHATHAM",
            "state": "LA",
            "postal_code": "712268917",
            "telephone_number": "318-249-3200",
            "fax_number": "318-249-3204"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "165 Beech Springs Rd",
            "address_purpose": "LOCATION",
            "city": "Jonesboro",
            "state": "LA",
            "postal_code": "712512059",
            "country_code": "US",
            "telephone_number": "318-259-4435",
            "fax_number": "318-259-0019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEATHERLAND",
        "first_name": "CAMMIE",
        "middle_name": "MAXWELL",
        "credential": "N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-30",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "AP07897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cneatherland@jph.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Chatham Medical Clinic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "804 Chatham Ave",
            "city": "Chatham",
            "state": "LA",
            "country_code": "US",
            "postal_code": "712268917",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CAMMIE",
            "last_name": "MAXWELL",
            "middle_name": "L",
            "credential": "N.P.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Eternal Blessings Inc
• Eternal Blessings Inc
• Eternal Blessings Personal Care Services
• Jackson Parish Hospital (Chatham Medical Clinic)
• Aaron Nash
• Dana Blalock Williams, APRN
• Wings of Eagles Behavioral Health

• Nurse Practitioner in Chatham, LA
• Providers in Chatham, LA by specialty
• Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.